| NPI | 1609013903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83424) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 19558) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2020-03-06 |